Search › California › 104100000X
Elizabeth De Jesus
NPI 1053167767 · on the registry since 2024
Practice
- Address
- 31625 Us-101
Soledad, CA 93960 - Phone
- (831) 678-5500
- Clinicians at this address
- 9
Additional practice sites
- 2945 Mcmillan Ave Ste 240, San Luis Obispo, CA
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 171M00000X
390200000X - Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2025-09-07
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California